The present 5 year application is a competing continuation of Grant No. P50DA07700 entitled, """"""""Center for Therapeutic Community Evaluation Research (CTCR)"""""""". The general mission of CTCR is to advance scientific knowledge of the therapeutic community (TC) approach to the treatment of chemical dependency and related problems. The major aims of CTCR are to: 1) conduct a program of treatment research and evaluation/studies of therapeutic communities, 2) promote evaluation and research capability within the TC modality, and 3) disseminate research findings to improve treatment programming and clinical practice. The mission and major aims remain unchanged in this competing renewal, although the proposed activities expand on the work conducted in the current grant period. The proposed CTCR field research studies will focus upon common issues, such as the effectiveness of modified TCs, aftercare, comorbidity, and the stability of long-term outcomes, Two studies of mentally ill chemical abusers (MICA) will provide the first results on the efficacy of modified TCs implemented for MICA inmates in prison (N=<600>) and for homeless MICA clients in a hospital based shelter setting (N=<300>), and will experimentally assess the impact of TC and non-TC oriented aftercare on treatment outcomes. The third study, a continuation of the current Adolescent project, will conduct the first large scale (N=<500>) long term, longitudinal follow-up (3-5 years post-treatment) of adolescent substance abusers treated in TCs. Its extended scope and depth will clarify the contribution of treatment, developmental, and non-treatment influences on the stability of outcomes among various subgroups of high risk adolescents (comorbidity, gender, and criminal/social deviance.) The CTCR core program includes research, training and dissemination activities. The current research initiative on treatment process will be advanced; developing field testing instrumentation and testing the generality of a TC process paradigm across the studies. CTCR training and dissemination activities will be substantially enhanced through a formal collaboration with the Nathan Kline Institute for Psychiatric Research (NKI). The Division of Alcohol and Drug Abuse administers the Center for Medical Fellowships in Alcoholism and Drug Abuse has liaisons with other professional disciplines and expanded dissemination capability participating in a world wide computer network for research and educational information transmission. The combined training and education resources of NKI and National Development and Research Institutes will create new opportunities and initiatives for CTCR.

National Institute of Health (NIH)
National Institute on Drug Abuse (NIDA)
Specialized Center (P50)
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Application #
Study Section
Special Emphasis Panel (SRCD (07))
Program Officer
Hilton, Thomas
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National Development & Research Institutes
New York
United States
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Sacks, Stanley; Banks, Steven; McKendrick, Karen et al. (2008) Modified therapeutic community for co-occurring disorders: a summary of four studies. J Subst Abuse Treat 34:112-22
Sullivan, Christopher J; McKendrick, Karen; Sacks, Stanley et al. (2007) Modified therapeutic community treatment for offenders with MICA disorders: substance use outcomes. Am J Drug Alcohol Abuse 33:823-32
Sacks, Stanley; Sacks, JoAnn Y; McKendrick, Karen et al. (2004) Modified TC for MICA offenders: crime outcomes. Behav Sci Law 22:477-501
Levounis, Petros; Galanter, Marc; Dermatis, Helen et al. (2002) Correlates of HIV transmission risk factors and considerations for interventions in homeless, chemically addicted and mentally ill patients. J Addict Dis 21:61-72
Egelko, Susan; Galanter, Marc; Dermatis, Helen et al. (2002) Improved psychological status in a modified therapeutic community for homeless MICA men. J Addict Dis 21:75-92
Melnick, G; De Leon, G; Thomas, G et al. (2001) Treatment process in prison therapeutic communities: motivation, participation, and outcome. Am J Drug Alcohol Abuse 27:633-50
Sacks, S (2000) Co-occurring mental and substance use disorders: promising approaches and research issues. Subst Use Misuse 35:2061-93
Jainchill, N; Hawke, J; De Leon, G et al. (2000) Adolescents in therapeutic communities: one-year posttreatment outcomes. J Psychoactive Drugs 32:81-94
De Leon, G; Sacks, S; Staines, G et al. (2000) Modified therapeutic community for homeless mentally ill chemical abusers: treatment outcomes. Am J Drug Alcohol Abuse 26:461-80
De Leon, G; Melnick, G; Thomas, G et al. (2000) Motivation for treatment in a prison-based therapeutic community. Am J Drug Alcohol Abuse 26:33-46

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